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General NPI Number Information
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NPI Number | 1053857490
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Entity Type | Individual
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Provider Name | JOCELYN HIVELY EDD, BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 5100 CALIFORNIA AVENUE SUITES 101 AND 125
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 661-228-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 6077 COFFEE RD STE 4-116
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City | BAKERSFIELD
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State | CA
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Zip | 93308-9416
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Country | US
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Telephone | 661-228-0280
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LEP3701
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-18326
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License Number State | CA
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